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Virginia rates for HCPCS 23040

Arthrotomy Glenohumeral Jt Expl/Drg/Rmvl Fb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.31 / $5,087.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $817.63
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$81.31 / $81.31 / $81.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.06 / $884.56 / $1,044.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.00 / $951.80 / $1,382.77
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$122.41 / $146.02 / $259.93
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.50 / $912.66 / $3,126.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,061.00 / $8,168.00 / $17,187.00